alexa Down syndrome and craniovertebral instability. Topic review and treatment recommendations.
Neurology

Neurology

Journal of Spine

Author(s): Brockmeyer D

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Abstract The diagnosis and management of occipital-atlantal and atlantoaxial instability in Down syndrome patients is a challenging problem in pediatric spine surgery. To date, no systematic review of this topic has been presented on this confusing and sometimes contentious issue. This topic review will focus on the biomechanical and radiographic foundations for which treatment recommendations in Down syndrome patients are made. In addition, otolaryngologic and anesthetic considerations in Down syndrome are also discussed, as well as advances in surgery that have made the operative fusion of these patients easier and safer. Copyright 1999 S. Karger AG, Basel This article was published in Pediatr Neurosurg and referenced in Journal of Spine

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